Individual
MR. JOHN EDWARD CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2768
KY
363A00000X
Physician Assistant
TC037
KY
363AS0400X
Surgical Physician Assistant
Primary
PA2768
KY
Other
Enumeration date
09/18/2017
Last updated
12/12/2025
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